Individual provider Active NPI

Matthew Lamca, PA-C

  • Medical Physician Assistant
  • Buckeye, AZ
National Provider Identifier
1346762325
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6758 Issued in AZ
Practice address
825 S Watson Rd Ste 107
Buckeye, AZ 85326-3435
Phone
(602) 754-6075
Fax
(623) 230-6814
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6758 AZ Primary

Addresses

Primary practice location

825 S Watson Rd Ste 107
Buckeye, AZ 85326-3435

Mailing address

18350 N 32ND St Unit 118
Phoenix, AZ 85032-1229
Phone (602) 754-6075

Other practice location 1

7301 E 2nd St Ste 310
Scottsdale, AZ 85251-5627
Phone (602) 754-6075

Other practice location 2

11340 W Bell Rd Ste 127
Surprise, AZ 85378-9335
Phone (602) 754-6075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003006511 AZ Practitioner - Physician Assistant 4587939418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6758AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona's First Choice Medical Services, LLC. Current Accepting new patients
Az Skin Cancer Treatment Center LLC PastSince Jun 16, 2024 Accepting new patients
Bill H. Halmi MD, PC Past Accepting new patients
Squaw Peak Anesthesia Inc PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1346762325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 N 32ND ST UNIT 118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321229",
            "telephone_number": "602-754-6075",
            "fax_number": "623-230-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S WATSON RD STE 107",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263435",
            "telephone_number": "602-754-6075",
            "fax_number": "623-230-6814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301 E 2nd St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515627",
            "country_code": "US",
            "telephone_number": "602-754-6075",
            "fax_number": "623-230-6814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11340 W Bell Rd Ste 127",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853789335",
            "country_code": "US",
            "telephone_number": "602-754-6075",
            "fax_number": "623-230-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMCA",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.